NPI | 1134184658 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY DUSTIN METS CEO 614-224-4506 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: OH 1113) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2022-07-21 |